Vsevolod Grinberg, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.006073 Issued in IL

Practice address

183 W 1St St
Elmhurst, IL 60126-2815

Phone

(630) 530-3338

Fax

(630) 560-6402

NPI assigned

Jun 28, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elmhurst Foot and Ankle Center IncGroup PAC ID 7315488228, 3 clinicians

Illinois Mobile Foot Care LLCGroup PAC ID 9537672498, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
• Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elmhurst Foot & Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Elmhurst, IL
  • NPI 1598508186
  Medicare reassignment Care Compare group NPD
• Illinois Mobile Foot Care LLC

  • Podiatrist
  • Chicago, IL
  • NPI 1588455984
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Glenoaks Hospital

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  Care Compare affiliation
• Adventist Glenoaks Hospital

  • General Acute Care Hospital
  • Glendale Heights, IL
  • NPI 1760415939
  Care Compare affiliation
• Elmhurst Memorial Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1881255917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262815",
            "telephone_number": "630-530-3338",
            "fax_number": "630-560-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 E Schaumburg Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601945156",
            "country_code": "US",
            "telephone_number": "630-530-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINBERG",
        "first_name": "VSEVOLOD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.006073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598508186",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah C. Gresk, APN-CNP
• Suzanne Nicole Grey, LCSW
• Daniel M Griffin, DPT
• Molly Griffin
• Caitlin Griffith, PT
• Crystle Kate Pinuela Grinen
• Jody Laine Grisamore, MSN, RNC-OB
• Lawrence Paul Groh, DDS
• GSP United LLC
• Michelle Guevara, LCSW

• Foot & Ankle Surgery Podiatrist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.